Murmur is the first full-length album released by Athens, Georgia alternative rock band R.E.M. Released in April 1983, Murmur was preceded by the Chronic Town EP the previous year.

Murmur's sound characterized the quieter, introverted side of the first wave of alternative rock in the U.S.A. The sound was new at the time, though not stepping beyond the constructs of traditional rock music.

In 2002, Murmur was listed as number 197 on the List of Rolling Stone's 500 Greatest Albums of All Time and in 2003 the TV network VH1 named Murmur the 92nd greatest album of all time.

This murmur can be distinguished from either a small ventricular septal defect or mitral regurgitation because in both of those conditions, the systolic murmur begins directly with the first heart sound.

A murmur of mitral regurgitation usually is best heard at the apex; it may have a smooth, somewhat harmonic quality, but it does not demonstrate variation in intensity.

This murmur is caused by turbulence in the major veins entering the thoracic inlet and is augmented by gravity when the patient sits.

When listening to the normal heart with the stethoscope, there should be two sounds--"lub dub." These are the sounds made when the 4 heart valves close: the tricuspid and mitral close at the same time making the "lub" sound, and the pulmonary and aortic close during the "dub" sound.

Murmurs are swishing sounds created when there is a narrow opening because the valve is scarred or diseased and the blood has to force its way through, or when the valve doesn't close tightly and blood is leaking backwards.

The reason her doctor told her to take a step throat seriously is that infections elsewhere in the body can travel in the blood stream and infect a faulty heart valve, potentially leading to major damage and eventual surgery.

Your child's doctor may also note where in the heart the murmur is, what type of noise it's making (for example, whether it's a harsh or blowing sound), where it occurs in the heartbeat cycle, and whether it changes when your child moves to different positions.

Because of the common misconception that all heart murmurs are serious, it's important for parents to understand which type of murmur their child has and if it needs further evaluation.

If your child's doctor suspects something other than an innocent heart murmur, he or she will refer your child to a pediatric cardiologist, who may order or perform additional tests such as a chest X-ray, an EKG (an electrocardiogram), or an echocardiogram.

kidshealth.org /parent/medical/heart/murmurs.html (1110 words)

hear you are --- [murmur](Site not responding. Last check: 2007-11-07)

[murmur] brings that important archive out onto the streets, for all to hear and experience, and is always looking for new stories to add to it's existing locations.

In 2004 [murmur] spread north from Kensington to the Annex neighbourhood and also established a site at The Drake Hotel.

[murmur] was initially developed with the assistance of the Canadian Film Centre, Habitat New Media Lab.

The characteristics of the murmur depend upon the velocity of blood flow and the surrounding structures that are caused to vibrate.

The intensity of the murmur, as influenced by stroke volume or velocity of ejection, and proximity of the great arteries to the chest wall determine whether the murmur is audible with the stethoscope.

Such murmurs are typically heard when a tachycardia exists, and in puppies, kittens, and young lean dogs; these animals tend to have a brisk circulation and a smaller thoracic cage with a narrow transverse diameter.

Murmurs are blowing, whooshing, or rasping sounds produced by turbulent blood flow through the heart valves or near the heart.

Murmurs can happen when a valve does not close tightly (such as with mitral regurgitation -- the backflow of blood through the mitral valve), or when the blood is flowing through a narrowed opening or a stiff valve (such as with aortic stenosis).

Murmurs are classified ("graded") depending on their ability to be heard by the examiner.

Remember that murmurs occur only when flow is present, and that flow through the outflow tracts begins well after S1 (after isovolumic contraction, the period when LV pressure is not yet greater than aortic pressure) and ends before S2 (which signals the closure of the semilunar valves).

These murmurs are therefore called “holosystolic.” Because the pressure differential is maintained even after S2, the second heart sound is usually obscured at the apex by a holosystolic murmur, yet preserved in an ejection murmur.

AF alters the murmur of mitral stenosis in that the normal pre-systolic accentuation seen in MS is lost due to the absence of atrial “kick.”

A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your heart.

However, a heart murmur may indicate that there is a heart problem or may be due to normal blood flow.

Sometimes a heart murmur may be the result of a hole in the heart or a narrowed valve.

www.mamashealth.com /heart/hmurmur.asp (489 words)

Heart Murmur(Site not responding. Last check: 2007-11-07)

A heart murmur is neither a diagnosis nor a disease; it is an indication that something may be wrong.

A heart murmur can be acquired as a result of rheumatic heart disease, a high blood flow condition such as an over-active thyroid, anemia, an infection of the lining or other areas of the heart, or heart failure.

Most heart murmurs are benign (innocent or functional heart murmurs) and are not a result of heart disease.

www.takeittoheart.org /HeartMurmur.htm (414 words)

Heart Murmur(Site not responding. Last check: 2007-11-07)

A murmur may be caused by temporary increase in blood flow that results from a fever or stress.

Heart murmurs can sometimes, though, be a sign of a more serious heart problem such as disease or damage to one or more heart valves, a hole in one of the heart walls or a narrowing in one of the heart's vessels.

The murmur is often found during a routine physical examination or physical examination for specific symptoms such as chest pain, shortness of breath, fatigue or the presence of blue coloring of the skin or fingertips.

Nine years ago, respected surgeon Michael Amar went mad and began a killing spree to “stop the voices.” He cut a swath of terror through Central and Keystone cities until he was captured by Fred Chyre and Joe Jackam.

Murmur was eventually contacted by Blacksmith, who arranged for an outbreak of an anthrax variant in the prison.

Murmur was among the prisoners who escaped in the commotion, and he joined the new Rogues Gallery.

Most often, the murmur, or "leaky valve" or swishing sound that is made is rated on a scale of 1 to 6.

Often doctors hear murmurs during a physical exam as they use the sthethoscope to listen to the sounds of the heart and these are usually heard between 2 to 4 years of age.

BUT, if the murmur is caused from a birth defect or the valves become severly diseased, then other treatments are needed including medicines, surgery to replace the "leaky" valve or to repair any holes in the heart cuasing the murmur.

Murmurs that occur during the heart’s muscular contraction phase (systole) during which blood is pumped from the heart.

A heart murmur may also be classified according to how loud it is. Based on a scale from one to six, with higher designations being more intense (louder), a physician may label a heart murmur as “grade 1,” “grade 2” and so forth.

Heart murmurs are also described by their location in the chest, from their radiation or transmission (to neck or back), and their pitch (low frequency or high pitch, etc.).

A heart murmur is an extra sound heard between the lups and dups, that is between the valve sounds.

Benign or functional heart murmurs are usually identified easily because of their distinct character.

There is an audible gap between the "lup" and the beginning of the murmur, and between the end of the murmur sound and the "dudup." Pathologic murmurs are basically those which aren't benign; they are associated with actual malformations of the heart, usually congenital.

www.drhull.com /EncyMaster/M/heart_murmur.html (582 words)

Approach to a child with a heart murmur. Poddar B, Basu S - Indian J Pediatr(Site not responding. Last check: 2007-11-07)

Differentiation from the murmur due to an anatomic narrowing of the pulmonary arterial branches is by the longer duration of the latter, the higher pitch and the older age group in whom the latter is heard.

In a study conducted on the accuracy of clinical assessment of heart murmurs by office- based pediatricians,[20] the sensitivity was 82% and specificity 72% and this was considered suboptimal.

In another study comparing academic pediatricians with pediatric cardiologists,[16] it was found that the accuracy of clinical diagnosis of heart murmurs was good among both and either was unlikely to misclassify a pathologic murmur as ′innocent′.

A heart murmur occurs when there is turbulence to the normal flow of blood through the chambers of the heart, and is usually due to a problem in a heart valve.

Murmurs are usually seen in older cats but it is not uncommon to see them in a young kitties.

Murmurs are graded from I to VI based on the severity of valve damage.

www.holisticat.com /hcm.html (2196 words)

Rhizome.org: [murmur](Site not responding. Last check: 2007-11-07)

[murmur] is an audio storytelling project that uses mobile phones to share first-person narratives and location-specific stories that often go unheard.

[murmur] lets people hear history as it was lived, complementing the "official" history of the city and its neighborhoods.

In experiencing [murmur], people can develop a new intimacy with places: once a story is attached to a place, that location has a new significance and can no longer be arbitrarily overlooked or forgotten.